Open AccessSevere Postpartum Hemorrhage in an Asymptomatic COVID-19 Patient: A Call to Be on Guard
Author(s) -
Pradip Kalsar,
Shreya Datta,
Arbabasu Kalsar,
Brian Kipkoech Kirui,
Andrew Marvin Kanyike
Publication year - 2021
Publication title -
international medical case reports journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.198
H-Index - 11
ISSN - 1179-142X
DOI - 10.2147/imcrj.s334249
Subject(s) - medicine , asymptomatic , pregnancy , respiratory distress , pulmonary hemorrhage , covid-19 , pandemic , childbirth , middle east respiratory syndrome coronavirus , pediatrics , obstetrics , intensive care medicine , maternal death , disease , lung , surgery , infectious disease (medical specialty) , population , genetics , environmental health , biology
Postpartum hemorrhage (PPH), the loss of more than 500 mL of blood following childbirth, is a leading cause of maternal mortality worldwide. The current coronavirus disease 2019 (COVID-19) pandemic has strained health-care systems globally. Pregnant women are a vulnerable group at a high risk of severe infection with COVID-19 due to the physiological changes in their immune state. Although the infection can be asymptomatic, severe COVID-19 infection is associated with respiratory distress, fever and coagulopathies that can complicate an already hypercoagulable pregnancy state. There is a dearth of existing literature regarding the complications of COVID-19 infection during pregnancy, and much is yet to be known about this rapidly evolving pandemic. In our case report, we received a 23-year-old gravida 2 para 1 woman who was COVID-19 positive but asymptomatic; she presented to the obstetric department with labor pains which progressed to severe postpartum hemorrhage and development of mild respiratory distress.